Ask The Experts
Q&A from the most trusted names in audiology.
Why Order an ABR, Too?
November 21, 2005
I tested a five year old boy this week and was extremely confident in his responses. He has a moderate rising to slight SNHI in the right ear and a mild SNHI rising to normal in the left ear. He passe... Read More
Electrophysiology Hearing Evaluation - Children Pediatrics
When the Audiologist Has Hearing Loss
November 14, 2005
I work with an audiologist who is 76 years old and has a severe high frequency loss bilaterally. Every time we run a speech discrimination test on a patient for hearing aid evaluation, he miscalculate... Read More
Practice Management and Professional Issues
Contracting Audiology Services to Physicians
November 7, 2005
I am an audiologist working for a private audiology clinic and hearing aid dispensing center. Our facility wants to contract our audiology services to physicians. If we draw up a contract for an hourl... Read More
Practice Management and Professional Issues
Ambient Conditions and Battery Performance
November 7, 2005
I would like to find out the effects of the following on the performance or operation of zinc air cells: the effect of ambient conditions as the result of air pollution, and the effect of temperature... Read More
T-Coil Based Loop Systems
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October 31, 2005
I am very impressed with LOOP SYSTEMS, but marketing and selling them has been a real challenge for me and my practice associates. How do I get patients to try T-coil based Loop systems, and how can I... Read More
Assistive Devices Hearing Aids - Adults
Lyme Disease and Hearing Loss
October 24, 2005
Do you know of any relationship with Lyme Disease and Tinnitus? Or Lyme Disease and hearing loss? Read More
Medical and Surgical Hearing and Hearing Loss Tinnitus and Hyperacusis
Articulation Index and Patient Expectations
October 17, 2005
I have some patients with low hearing instrument satisfaction after 1 year of use. When I looked at their audiometry I found that they have a very low Articulation Index and their Word recognition was... Read More
Hearing Aids - Adults
Active-Noise Reduction Headsets
October 17, 2005
If noise reduction reduces "good" sounds, too, then how do noise-reducing stereo headsets deliver such good sound? Could their design be used for hearing aids? Read More
Hearing and Hearing Loss Hearing Conservation and NIHL
Bi-Lingual Cochlear Implant Users
October 10, 2005
My daughter Danielle was diagnosed with profound bilateral hearing loss at one month of age. She was implanted at 10 months. She hears the grass grow. Her receptive speech is about age appropriate, ex... Read More
Aural Habilitation - Children Cochlear Implants Pediatrics
Top-down v. Bottom-up Processing
October 3, 2005
What is the difference between top-down and bottom-up processing in relation to the auditory system? Read More
Hearing and Hearing Loss Central Auditory Processing Disorder (CAPD)
Earplugs for Pressure Equalization in Flight
October 3, 2005
I have tinnitus and my ears are sensitive to air pressure changes in airplane rides. I would like to have custom earplugs made (from ear impressions) that protect against that pressure change. Are you... Read More
Assistive Devices Earmolds and Ear Impressions
Horizontal Positional Nystagmus and BPPV
September 26, 2005
If horizontal nystagmus is present during positional testing, and also seen during the Dix-Hallpike, (a)what is the correct way to report it? I thought it was not BPPV unless torsional (rotational) ny... Read More
Vestibular Issues and Balance Disorders
Cleaning and Disinfecting Hearing Aids and Earmolds
September 19, 2005
Please tell me the best way to clean and disinfect hearing aids? And, what can you tell me about the transmission of disease via hearing aids? Thanks. Read More
Practice Management and Professional Issues
Advantages and Disadvantages of Insert Earphones with Pediatric Fittings
September 12, 2005
I am aware of many benefits of using insert earphones with children and with patients of all ages. My employer is concerned that threshold information obtained with inserts in small ear canals may not... Read More
Hearing Aids - Children Hearing Evaluation - Children Pediatrics Pediatrics
Response Latency for Dix-Hallpike
August 29, 2005
Is there any clinical significance as to the time of onset of the nystagmus and dizziness when doing the Hallpike for example, 10 seconds versus 40 seconds? Read More
Vestibular Issues and Balance Disorders
Causes of Retrograde Amnesia
August 22, 2005
What are all the causes of retrograde amnesia? Read More
Medical and Surgical
Norms on Bone Conduction Tone Burst ABR
August 15, 2005
Do you have any normative data on bone conduction tone burst ABR by frequency (500, 2,4k Hz) for diagnosing hearing loss in newborns? I need to build our own norms, but would like to see what others h... Read More
Electrophysiology Hearing Evaluation - Children Pediatrics
Disproportionate NIHL Among Female Workers
August 8, 2005
I review a large number of audiograms from industry. It seems there are a disproportional number of middle aged women with progressing mild-to-moderate, bilateral, flat sensorineural hearing loss. The... Read More
Hearing Conservation and NIHL
Protocols for Sale of an Established Practice
August 1, 2005
PART ONE: Are you aware of any published guidelines or protocolsregarding the closing /sale of an established diagnostic/dispensingprivate practice, specifically regarding notification of clients,main... Read More
Practice Management and Professional Issues
Spontaneous Nystagmus without Unilateral Weakness?
July 25, 2005
Is it possible to have a spontaneous nystagmus without a unilateral weakness? Read More
Vestibular Issues and Balance Disorders